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題名 | Non-Enteropathic Hemolytic-Uremic Syndrome after Herb Intake--A Case Report=服用草藥後發生溶血性尿毒症候群--一病例報告 |
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作 者 | 陳怡安; 馮祥華; 曾嶔元; 楊垂勳; | 書刊名 | 輔仁醫學期刊 |
卷期 | 5:1 2007.03[民96.03] |
頁次 | 頁43-52 |
分類號 | 415.816 |
關鍵詞 | 溶血性尿毒症; 栓塞性微血管病變; 腎衰竭; Hemolytic-uremic syndrome; Thrombotic microangiopathy; Renal failure; Herbs; |
語文 | 英文(English) |
中文摘要 | 溶血性尿毒症是造成急性腎衰竭一個重要的原因,而且可能會導致腎臟功能永久的傷害。我們報導一位45歲的婦女,在短暫服用不知名的草藥後,臨床上產生了典型的溶血性尿毒症的情況,在腎臟切片上出現栓塞性微血管病變,吻合此疾病的診斷。病人總共接受了8次的血漿置換術,其臨床表現、以及血液檢查數據才逐漸穩定。但是很不幸的,病人的腎臟功能仍然沒有恢復。至今,仍需仰賴血液透析的治療。有關溶血性尿毒症的臨床表現、發病原因、及病理變化在此也一併討論。 |
英文摘要 | Hemolytic uremic syndrome (HUS) is an important cause of acute renal failure, and may be irreversible. We describe a 45-year-old woman who developed non-enteropathic HUS soon after taking herbal medicine of unknown composition for a few days. A renal biopsy showed glomerular sclerosis and collapse secondary to the glomerular and vascular lesions of thrombotic microangiopathy. Her clinical condition was stabilized after 8 exchanges of plasmapheresis. However, renal failure persisted, and the patient still depends on long-term dialysis. The clinical manifestations, etiologies, and pathologic findings of HUS are discussed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。